Is Peripheral Artery Disease an Independent Predictor of Isolated Coronary Artery Bypass Outcome?

The aim was to use a propensity score-based analysis to determine the impact of peripheral artery disease (PAD) on early outcomes after coronary artery bypass surgery grafting (CABG) in patients with PAD. We conducted a multicentre retrospective analysis of 11,311 consecutive patients who underwent...

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Veröffentlicht in:Heart, lung & circulation lung & circulation, 2020-10, Vol.29 (10), p.1502-1510
Hauptverfasser: Bonacchi, Massimo, Parise, Orlando, Matteucci, Francesco, Tetta, Cecilia, Moula, Amalia Ioanna, Micali, Linda Renata, Dokollari, Aleksander, De Martino, Marco, Sani, Guido, Grasso, Andrea, Prifti, Edvin, Gelsomino, Sandro
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Sprache:eng
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Zusammenfassung:The aim was to use a propensity score-based analysis to determine the impact of peripheral artery disease (PAD) on early outcomes after coronary artery bypass surgery grafting (CABG) in patients with PAD. We conducted a multicentre retrospective analysis of 11,311 consecutive patients who underwent CABG between 1997 and 2017. Patients with previous or concomitant vascular surgery were excluded. The main endpoints were death, stroke, and limb ischaemia requiring percutaneous or surgical revascularisation. Subgroup analyses were performed to test the interaction of PAD with concomitant factors. There was no difference in mortality in patients with and without PAD (p=0.06 and p=0.179, respectively). Patients with PAD had a greater incidence of stroke (p=0.04), acute kidney disease (p=0.003), and limb ischaemia requiring interventions (p
ISSN:1443-9506
1444-2892
DOI:10.1016/j.hlc.2020.01.013